Individual
JOANNA MAE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
150 MUIR RD, MARTINEZ, CA 94553-4668
(925) 370-4704
Mailing address
3999 CENTRAL LN, WINTERS, CA 95694-9605
(530) 771-7052
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
779934
CA
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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